Organization
INDIVIDUAL, MARRIAGE/DIVORCE AND FAMILY STUDIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE KAHL PH.D (PSYCHOLOGIST PRESIDENT OF CORP.)
(516) 867-8330
Entity
Organization
Contact information
Practice address
2748 RIVERSIDE AVE, MERRICK, NY 11566-4917
(516) 867-8330
(516) 771-6455
Mailing address
2748 RIVERSIDE AVE, MERRICK, NY 11566-4917
(516) 867-8330
(516) 771-6455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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